General Medicine E - Log Book

Pre-Final Internal Assessment
Paper 2


























Paper 1
























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MEDICINE CASE DISCUSSION

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A 25 YEAR OLD FEMALE WITH YOUNG ONSET OF HYPERTENSION. Y.Navya sahithi reddy Roll no.1701006200 2017 batch I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan A 25 year old female patient who is a housewife and resident of Miryalaguda came to OPD with  Chief complaints: General check up in measuring bp found to be150/100mmof hg HISTORY OF PRESENTBILLNESS 2021:1st pregnancy:When patient conceived visited obstetrician and on examination found to have Hypertension(150/100 mmHg) Started on Labetalol PO BD At around 8 months:intrauterine death,baby delivered by NVD Stopped antihypertensives 2022:patient conceived again,blood pressure 160/100 mmHg started on labetalol 100mg BD At 8 months: preterm delivery live baby NVD died within one day NEGATIVE HISTORY: No H/O...
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A 73 YEAR OLD MALE PATIENT WITH PEDAL EDEMA, SHORTNESS OF BREATH AND DECREASED URINE OUTPUT.

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Y.NAVYA SAHITHI REDDY ROLL NO 167 2K17 BATCH. This is an online E log book to discuss our patient's    de-identified health data shared after taking her guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE DISCUSSION A 73 yr male patient teacher by occupation, resident of .............. presented to Opd with chief complaints of : PEDAL EDEMA ,SINCE 15 DAYS SHORTNESS OF BREATH, SINCE 4 DAYS DECREASED URINE OUTPUT ,SINCE 2 DAYS HISTORY OF ILLNESS Patient is chronic alcoholic since 40yrs ( stopped few months back) and non-smoker was apparently asymptomatic 30yrs ago. He was diagnosed with type 2 diabetes mellitus 30yrs ...
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INTERNAL ASSESMENT

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⁰ 10 Marks questions: 1 )Define bone density, how is it measured? What are the causes, clinical features,diagnosis and management of osteoporosis? (1+2+2+2+3) Bone density, or bone mineral density, is the amount of bone mineral in bone tissue.  Bone density measurements are used to diagnose osteoporosis . A bone density test is used to measure bone mineral content and density. It may be done using X-rays, dual-energy X-ray absorptiometry (DEXA or DXA), or a special CT scan  It is painless and tests the risk of fracture due to osteoporosis.  Osteoporosis is characterized by decrease in the amount of bone. Causes: primary- postmenopausal women and older men                      Secondary- cancer,COPD,CKD,certain drugs,                                                   ...
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